Influence of Techniques of Chest Physiotherapy in the Pediatric Intensive Care

Not Applicable

• Conditions: Atelectasis
• Interventions: Device: Autogenic drainage; Device: Intrapulmonary percussive ventilation

• Registration Number: NCT03112811
• Lead Sponsor: Cliniques universitaires Saint-Luc- Université Catholique de Louvain

Brief Summary

The purpose of this study is to compare the effect of the autogenic drainage and the intrapulmonary percussive ventilation on the levying of the lung atelectasis, by means of the thoracic imaging (thoracic ultrasound and radiography), at the intubated or extubated child with the ventilatory support.

Detailed Description

Not available

Study Timeline

• Study Start: 2007-04-03
• Status Verified: 2017-04
• Study First Submitted: 2017-04-03
• Study First Submitted QC: 2017-04-07
• Last Update Submitted: 2017-04-07
• Study First Posted: 2017-04-13
• Last Update Posted: 2017-04-13
• Primary Completion: 2020-12-31
• Study Completion: 2021-01-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

• Child < 10 kg
• Hospitalization in the pediatric intensive care
• Presence of an atelectasis to the radiography and/or to the lung ultrasound
• Presence of an invasive ventilation or a non-invasive ventilation
• Criteria of cardio-respiratory stability met

Exclusion Criteria

• Absence of the physiotherapist and the radiologist referents (by ex: at night)
• Prematurity
• Neuromuscular disease
• Ventilation by high-frequency oscillation
• Extraphysical Assistance
• Patient cardiac post-surgery with closure postponed from the thorax. In the closure of the thorax, the patient becomes eligible
• Intracranial pressure > 20 mmHg or clinical signs of intracranial high blood pressure

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intubated infant	Autogenic drainage	-
Extubated infant	Intrapulmonary percussive ventilation	-
Extubated infant	Autogenic drainage	-
Intubated infant	Intrapulmonary percussive ventilation	-

Primary Outcome Measures

Name	Time	Method
Change from baseline oxygen saturation at 20 min, 30 min, 50 min, 80 min	Baseline and at 20 min, 30 min, 50 min, 80 min	Stability of the parameters
Change from baseline respiratory frequency at 20 min, 30 min, 50 min, 80 min	Baseline and at 20 min, 30 min, 50 min, 80 min	Stability of the parameters
Change from baseline cardiac frequency at 20 min, 30 min, 50 min, 80 min	Baseline and at 20 min, 30 min, 50 min, 80 min	Stability of the parameters
Change from baseline systolic blood pressure at 20 min, 30 min, 50 min, 80 min	Baseline and at 20 min, 30 min, 50 min, 80 min	Stability of the parameters
Change from baseline expiratory CO2 at 20 min, 30 min, 50 min, 80 min	Baseline and at 20 min, 30 min, 50 min, 80 min	Stability of the parameters
Change from baseline Atelectasis scores at 20 min	Baseline and at 20 min	Each atelectasis has a thoracic ultrasound
Change from baseline diastolic blood pressure at 20 min, 30 min, 50 min, 80 min	Baseline and at 20 min, 30 min, 50 min, 80 min	Stability of the parameters
Compare the atelectasis scores	Baseline between thoracic ultrasound and chest x-ray	Compare the atelectasis scores between thoracic ultrasound and chest x-ray

Secondary Outcome Measures

Name	Time	Method
Number of unexpected events	At 20 min	Pain, desaturation, accidentally extubation